Individual provider Active NPI

Richard K Warren, PH.D.

  • Clinical Psychologist
  • Exeter, NH
National Provider Identifier
1326257908
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
590 Issued in NH
Practice address
24 Front St
Suite 314
Exeter, NH 03833-2727
Phone
(603) 778-7433
Fax
(603) 778-0022
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 590 NH Primary

Addresses

Primary practice location

24 Front St
Suite 314
Exeter, NH 03833-2727

Mailing address

PO Box 57
Exeter, NH 03833-0057
Phone (603) 778-7433

Other identifiers 1

IdentifierTypeStateIssuer
30420532MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051105000023 NH Practitioner - Clinical Psychologist 6406874742 Reassigns benefits to 1 organization
Practice locations: Exeter, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Front St
Suite 314
Exeter, NH 03833-2774
Phone (617) 681-5135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
590NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Warren, PHD, PLLC CurrentSince Jan 4, 2022 Accepting new patients

Locations

24 Front St
Ste 314
Exeter, NH 03833
Phone (603) 778-7433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1326257908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038330057",
            "telephone_number": "603-778-7433",
            "fax_number": "603-778-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRONT ST",
            "address_2": "SUITE 314",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "603-778-7433",
            "fax_number": "603-778-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-12-13",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30420532",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.